The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 919 contributions
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Absolutely.
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Can I just check a phrase that you used there? Was it “consensus diagnosis”?
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
But that would not remove the requirement for a formal diagnosis if medication was being sought.
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Is it arguable that they do not have those experiences because of their neurodevelopmental status but because of the inability of society to accommodate that? We hear the phrase “neuro-affirming” being used.
I will frame the question differently. If we could imagine Scotland as a neuro-affirming society, would it be one in which diagnosis has the totemic status that it has at the moment?
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
I am sorry to drag you back to a previous discussion, Dr Williams, but I have a supplementary question on the back of the questions that Elena Whitham was asking you about the role of assessment and diagnosis in the private or third sectors. It seemed to me that your answer quite accurately described the problem, but I could not quite get a sense of what you think the solution to that is. Clearly, we have frustration being expressed in relation to the financial unfairness, with some people being able to make the choice to go private, others being forced into debt and others feeling desperate because they cannot do that, and there is a sense of frustration because people are not getting the same responses from different GPs about whether diagnoses will be accepted and acted on.
Are you saying that the solution to that is to restrict or prohibit diagnoses in the private sector that do not reach a certain standard and then to accept all those that do, or that the solution is only to expand capacity in the NHS? Where do we go from here?
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Good morning to our new panel of witnesses. As you will be aware, we have heard a lot of evidence about the variation in waiting times, in service provision and in the various timescales and so on for referrals to pathways to access services across different parts of Scotland. Can you give us a sense of the extent to which that variation is itself fundamentally a problem, or is variation simply something that we should live with in a country with multiple health boards that provide services in line with their different priorities? What could the Scottish Government do if it chooses to reduce or eliminate that variation and establish a standard universal set of expectations for people? Do health boards look at one another’s performance and treat that, informally, as what they need to be aspiring to? Is there any sense at all that health boards are trying to achieve not universality but some common expectations? I am happy to open that up to whoever would like to kick off.
10:30Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
I think that probably everyone has mentioned resources. That was unavoidable, so let us acknowledge that issue. Are there any other barriers beyond resources that you think we need to be aware of in delivering either the NAIT recommendations that witnesses have spoken about or the specification for children and young people that Dr Kidd talked about?
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Does either the Scottish Government or any individual health board currently seek to develop a policy for issues such as diagnosis recognition? I suspect that the answer to that will be no. We have heard about the extremely patchy responses that people get when they speak to their GPs about diagnoses provided outside the NHS. Does any health board seek to achieve consistency on that at the moment?
Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Is the consensus diagnosis approach ever used for adults?
10:45Health, Social Care and Sport Committee
Meeting date: 7 October 2025
Patrick Harvie
Thank you.